National Provider Identifier
Tarryl Jamal Gano
Tarryl Jamal Gano is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in East Rochester, NY and a listed phone number of (585) 353-1645.
Profile Overview
- NPI
- 1821652694
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 26, 2019
- Last Updated
- April 26, 2019
Practice Location
- 120 Pine St
- East Rochester, NY 14445-1328
Phone: (585) 353-1645
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821652694
- Entity Type
- Individual
- Last Name
- Gano
- First Name
- Tarryl
- Middle Name
- Jamal
- Mailing Street Address
- 120 Pine St
- Mailing City
- East Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445-1328
- Mailing Country
- US
- Mailing Phone
- (585) 353-1645
- Practice Street Address
- 120 Pine St
- Practice City
- East Rochester
- Practice State
- NY
- Practice ZIP Code
- 14445-1328
- Practice Country
- US
- Practice Phone
- (585) 353-1645
- Enumeration Date
- April 26, 2019
- Last Updated
- April 26, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)